Conduct quality review of completed Preadmission Screening and Resident Review (PASRR) Level II assessments for applicants to and residents of Medicaid-certified nursing facilities with a known or suspected serious mental illness or intellectual/developmental disability.
• Perform document-based quality control review of PASRR assessments
• Responsible for conducting desk-based second-level review of assessments for individuals with medical conditions and/or cognitive impairments which impact their participation in daily living activities.
• Responsible for completing and submitting assessment reviews within the respective timeline, adhering to quality benchmarks and contractual specifications, utilizing computer database system
• Responsible for engagement and performance feedback for Assessors, including onboarding assistance, making/following up on referrals, tracking responsiveness, and informing both Recruiting and Credentialing and PASRR Program Manager in writing when performance and/or responsiveness issues arise with any Assessor
• Must work within a tight turnaround time assuring contract compliance
• Attends and participates in scheduled contract, committee, and all-staff meetings
• Completes other job duties as assigned or necessary
Knowledge, Skills & Abilities
• Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures
• Working knowledge and understanding of behavioral health diagnoses, psychotropic medications, medical diagnoses and prescribed medications
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment
• Ability to multitask effectively while performing job duties, including ability to prioritize tasks and ensuring all voice mail and email messages are returned within contract standards
• Ability to work independently with minimal day-to-day supervision
• Excellent written and verbal communication skills
• Excellent interpersonal skills
• Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Intermediate skill with word processing and spreadsheet software (Microsoft Word and Excel preferred)
The job requires a North Carolina-licensed Master’s Level Social Worker, Psych Registered Nurse, or other mental health (MH) and/or intellectual and developmental disability (IDD) professional w/similar training/experience.
The job requires at least four (4) years of experience working with individuals with MH and/or IDD.